Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $234.42	Facility		$208.93	$208.93	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $100.00	Professional		$23.99	$28.18	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $42.66	Professional		$21.88	$34.67	$42.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $100.00	Facility		$26.92	$26.92	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $120.23	Professional		$29.51	$29.51	$120.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $114.82 / $190.55	Facility		$104.71	$114.82	$190.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $67.61	Professional		$54.95	$67.61	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $38.90	Professional		$21.88	$29.51	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $60.26 / $89.13	Professional		$18.62	$60.26	$89.13